Unit 11 Flashcards

1
Q

Vital Signs

A
temp
pulse
respirations
blood pressure
pain
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2
Q

Reasons for taking vitals

A

signs of illness
potential health problems
response to treatment

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3
Q

NEVER guess vitals

A

report abnormal vitals immediately

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4
Q

Body temp

A

amount of heat body makes & loses

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5
Q

factors affecting temp

A

age- elderly less able to prevent heat loss
exercise
circadian rhythm- lower temp in morning, higher in evening
stress
illness
environment

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6
Q

Hypothermia

A

body temp below level needed for normal function

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7
Q

Fever

A
increase in body temp  above normal range
cause- illness & infection
s/s-
fatigue
headache
chills
muscle aches
warm skin, flushed
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8
Q

Oral temp

A

mouth
most common site
97.6-99.6

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9
Q

Rectal temp

A

most accurate

98.6-100.6

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10
Q

Axillary

A

armpit
least accurate
96.6-98.6

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11
Q

Tympanic

A

ear

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12
Q

Types of thermometer

A
glass (mercury-free)
digital
electronic
disposable
tympanic
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13
Q

Red for rectum

A

Blue or green for Oral

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14
Q

Don’t use oral temp if

A
unconscious
using oxygen
confused
seizure
injury to face
nasogastric tube
younger than 6
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15
Q

wait 10-20 minutes if

A

eating or drinking
smoking
chewing gum
exercising

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16
Q

Pulse

A

wave of blood through artery
60-100bpm
Radial most common

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17
Q

Tachycardia

A

fast pulse

18
Q

Bradycardia

A

slow pulse

19
Q

Pulse affected by

A
age
sex
exercise
stress
hemorrhage
medication
fever & illness
20
Q

Pulse sites

A
Temporal (temple)
Carotid (neck)
Apical (heart)
Brachial (inside elbow)
Radial (wrist)
Femoral (groin)
Popliteal (behind knee)
Pedal (top of foot)
21
Q

observe pulse for

A

rate
pattern-regular or irregular
quality-weak or strong

22
Q

Respirations

A
12-20/min
observe- 
rate
pattern
quality (difficulty, noise, deep or shallow)
23
Q

Apnea

A

not breathing

24
Q

Dyspnea

A

difficulty breathing

25
Q

Eupnea

A

normal breathing

26
Q

Orthopnea

A

SOB when laying down

relieved by sitting up

27
Q

Tachypnea

A

rapid breathing

28
Q

Cheyne-Stokes

A

irregular breathing

periods of apnea then shallow breath

29
Q

Apical Radial Pulse

A

taken to compare pulses

normal should be equal

30
Q

Blood Pressure

A

measure of force of blood against walls of arteries
systolic- top #
diastolic- bottom #

31
Q

hypertension

A

high bp

32
Q

hypotension

A

low bp

33
Q

Orthostatic Hypotension

A

drop in bp when changing positions

34
Q

factors affecting bp

A
age
exercise
stress
race
heredity
obesity
alcohol/tobacco
time of day
illness
35
Q

equipment needed for bp

A

stethoscope

sphygmomanometer

36
Q

Don’t use arm if

A
IV
amputation
cast
burns or injuries
dialysis
paralyzed due to stroke
mastectomy
37
Q

Normal BP

A

100-119/60-79

38
Q

Low

A

below 100/60

39
Q

Prehypertensive

A

120-139/80-89

40
Q

High

A

140/90 or above